As during a gynecological exam or an IUD insertion, you will lie on your back with your feet on foot rests. A sheet will be draped over your body. Your provider will use forceps to gently grasp the IUD strings and slowly pull on them. The IUD arms will fold up as it slides through the opening of the cervix. Removal of your IUD is typically faster and less painful than the insertion. You should never try to remove the IUD by yourself.
Skip to Content. Urgent Care. IUDs usually need to be replaced every 5 or 10 years depending on the type of IUD you have and the age you were when it was put in. Ask your doctor for advice about when your IUD needs to be replaced. You can also choose to have your IUD removed at any time if you want to become pregnant or if you don't want it anymore. The IUD is taken out by a doctor or nurse who has been trained in this procedure.
The IUDs available in Australia have a thread so that they can be easily removed. The doctor or nurse will look inside your vagina using a speculum. This is like having a Cervical Screening Test done. The doctor or nurse will use a long pair of forceps to gently pull on the thread to remove the IUD.
It only takes a couple of minutes. Some women find it a little uncomfortable and others don't feel much at all. You should not feel unwell after the removal. There are many different types of IUDs available in other countries.
Some doctors may suggest taking a painkiller before removal to reduce these feelings of discomfort. If the IUD needs removing because of an infection, a doctor may prescribe antibiotics or other treatments. As long as there are no complications or infections, a new hormonal or copper IUD can immediately replace the old device. There is a small chance that the IUD will not come out easily. This may happen if the doctor cannot locate the IUD strings, possibly because someone cut them too short.
The doctor may use an ultrasound to find the strings, and they may use other medical instruments besides forceps to help remove the device from the uterus, such as a cytobrush or an IUD hook. Very rarely, the device migrates through the uterine wall. In this case, hysteroscopic surgery may be necessary, under anesthesia. Another option is to use ultrasound to guide the removal.
A study published in concluded that this was less invasive and more cost-effective than surgery. Another complication of IUD removal is an unplanned pregnancy that arises from sex in the days before removal. People should discuss alternative forms of birth control with a healthcare professional before removing the device to prevent this.
This means that pregnancy is possible if sex occurs in the days just before or just after removal, depending on when ovulation takes place. If the person is switching from an IUD to oral contraceptives after removal, they should use another form of protection for 7 days until the oral contraceptive takes effect.
There are two main types of IUD. One contains copper, and the others contain the female hormone, levonorgestrel LNG. The copper IUD is a plastic device with a copper coil on the stem and the arms. It continuously releases copper into the uterus to cause an inflammatory reaction which is toxic to sperm.
The plastic UID is a hormonal device that releases the hormone levonorgestrel. This thickens the cervical mucus and stops sperm from fertilizing the egg. Mechanical barriers physically prevent the sperm from reaching the egg. A person may combine their use with spermicide to kill the sperm chemically.
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